It appears you have not yet Signed Up with our community. To Sign Up for free, please click here....



Back Problems Message Board

  • What is the difference btwn physiatrist and pain mgmnt doc in treating chronic back p

  • Post New Thread   Closed Thread
    Thread Tools Search this Thread
    Old 03-06-2004, 10:57 AM   #1
    rmurf
    Inactive
     
    Join Date: Dec 2003
    Location: So.Cal.
    Posts: 63
    rmurf HB User
    What is the difference btwn physiatrist and pain mgmnt doc in treating chronic back p

    Maybe I am confused about what the 2 treat. Since hurting my back in Aug 2003 I have been seeing a physiatrist specialising in orthopedics and spines. He referred me to PT and did 2 epidurals (which did nothing)and prescribed Bextra anti-inflammatory.

    Since it has turned into a chronic pain situation, all he seems to do is prescribe pills that I don't want to take (due to the side effects (like Neurontin and Elavil) and the pain continues. Since he describes himself as a pain management doc also, I am discouraged because there is lots of pain but little management. Is it time to get a referral to another psyiatrist or to a doc who does only pain management? Is there such a person?

     
    Sponsors Lightbulb
       
    Old 03-06-2004, 12:58 PM   #2
    ShouldBeDancin
    Newbie
     
    ShouldBeDancin's Avatar
     
    Join Date: Feb 2004
    Posts: 6
    ShouldBeDancin HB User
    Re: What is the difference btwn physiatrist and pain mgmnt doc in treating chronic back p

    A physiatrist usually oversees the physical rehab portion of your treatment.
    They do prescribe for pain management for short-term situation.

    However; for long-term (chronic) pain the physiatrist should refer you to a docotr who specializes in Pain Management. Any doctor can write presrciptions for pain meds but that does not necessarily qualify them as a specialist in Pain Management.

    In my experience both as a nurse and a patient; the physiatrist works with the Physical Therapist. The Pain Management doctor is normally an Anesthesiologist who has gone through the educational process and received certification as a specialist in Pain Management.

    Remember I am only telling you what I know from my own experiences.
    Qualifications can vary state to state.....maybe there are even Physiatrists right in my neighborhood who are certified in Pain Management and I just don't know about them.

    My advice is to ask your Physiatrist for credentials, certification etc. that clearly identify him/her as being Certified in pain management. You want to know that he/she is recognized as a specialist officially and by the appropriate agencies....and not just self-ordained.

    There is no reason why your doc could not be certified. He very well could have gone through the required process. If he has then he should have no problem showing you those credentials...you know how doctors have their licenses and other certificates displayed in their offices? Check those out too.
    __________________

    To view links or images in signatures your post count must be 10 or greater. You currently have 0 posts.

     
    Old 03-06-2004, 01:00 PM   #3
    Michaela
    Senior Member
     
    Michaela's Avatar
     
    Join Date: Apr 2003
    Location: San Diego
    Posts: 203
    Michaela HB User
    Re: What is the difference btwn physiatrist and pain mgmnt doc in treating chronic back p

    Good luck...I am seeing the same kind of doctor, and I'm questioning the same thing, I have been told that this is my last month of pt, and there suppose to be teaching me exercises to be doing at home, I do walk alot though too, but I'm wondering what the doctor wrote in the report to workmans comp and if workmans compp is just not going to pay for anymore pt, I know there were new laws the first of this year...is your situation workmans comp related?

    good luck

    Michaela
    __________________
    August 29th 2002 Injured back at work
    from August 2002 till late Nov, roller coaster ride with pain etc.
    Dec Friday 13th 2002 laid off job.
    Dec. 26th pain starts back up again, lasts for 6 weeks before pain got better then turned to sciatic pain for about 10 weeks.
    April 1st had MRI.
    April 4th MRI read by my doctor, reading L5-S1 herniated disk W/8mm bulge, pressing on nerve in spine.
    Doc says I need surgery.
    Then I was investigated (pictures & video taped)
    Had second opinion Doctor appt. and Workmans comp didn't notify me till the day after the appt. by usa mail. I was ******!
    I did go to the appt. on another day, thank god I did, cause it was the icing on the cake at my hearing. I won!
    Then had surgery for Laminectomy/Disectomy June 18th 2003.
    I also had ALOT of scare tissue, surgery was longer then expected.
    now I am over 4 weeks post op.
    still get a zing down left leg, but I can walk.
    7/30/2003 still having low back pain, like an ache feeling at the end of the day (6wk po)

     
    Old 03-06-2004, 01:27 PM   #4
    rmurf
    Inactive
     
    Join Date: Dec 2003
    Location: So.Cal.
    Posts: 63
    rmurf HB User
    Re: What is the difference btwn physiatrist and pain mgmnt doc in treating chronic back p

    My situation is not WC, just due to my own stupidity in overdoing it at the gym. I sound a lot like you-- PT not working but ok to walk. It's the sitting that's the killer. I'd love to find a pain mgmnt doc that specializes in holistic or non-prescription drugs.

     
    Old 03-06-2004, 01:58 PM   #5
    Standingman1
    Senior Member
     
    Standingman1's Avatar
     
    Join Date: Dec 2003
    Posts: 159
    Standingman1 HB User
    Re: What is the difference btwn physiatrist and pain mgmnt doc in treating chronic back p

    rmurf--There are pain management docs like what you're looking for--I see a D.O neurologist who does all the usual things, but also acupuncture and makes referrals to a range of "alternatives" if one is interested--including herbalists, imagery stuff, etc.. Ask around in your area. In general, a D.O is more likely to be this kind of pratitioner than an M.D., but it all depends. Otherwise, I concur that "pain management" is most often a subspecialty of anesthesiology.

    Standingman

    Last edited by Standingman1; 03-06-2004 at 02:00 PM.

     
    Closed Thread

    Related Topics
    Thread Thread Starter Board Replies Last Post
    Whose Pm Doc Is A Physiatrist? IZZY'SMOM Chronic Pain 11 12-17-2008 11:40 PM
    I think I have carpal tunnel - what can I do for relief? dignity Carpal Tunnel Syndrome 3 06-17-2008 12:20 PM
    going to pm doc next month what should i expect? kaydenxo Pain Management 3 11-26-2007 07:11 PM
    What is a Physiologist?? ms_west Back Problems 12 07-26-2007 07:38 AM
    Codeine won't touch the pain, but afraid to get stronger meds...what should I do?? *Versailles* Pain Management 15 12-08-2005 03:49 PM
    Question about Physiatrist? tkgoodspirit Pain Management 3 04-08-2005 11:13 AM




    Thread Tools Search this Thread
    Search this Thread:

    Advanced Search

    Posting Rules
    You may not post new threads
    You may not post replies
    You may not post attachments
    You may not edit your posts

    BB code is Off
    Smilies are On
    [IMG] code is Off
    HTML code is Off
    Trackbacks are Off
    Pingbacks are Off
    Refbacks are Off




    Sign Up Today!

    Ask our community of thousands of members your health questions, and learn from others experiences. Join the conversation!

    I want my free account

    All times are GMT -7. The time now is 08:23 AM.





    © 2020 MH Sub I, LLC dba Internet Brands. All rights reserved.
    Do not copy or redistribute in any form!